2025-07-15T18:06:25-04:00 2024-09-30 203240092 WATSON COOKE & JONES PA PO BOX 1749 SMITHFIELD NC 275771749 990 2023-10-01 561670983 GUY C LEE BENEFIT PLAN TR LEE 9199346195 POST OFFICE BOX 150 SMITHFIELD NC 27577 DAWN GLOVER TRUSTEE 9199346195 2025-07-15 true true ALLISON Y JONES P00153043 9199348452 2025-07-15 2023 2025-03-06 01:10:19Z DAWN GLOVER PO BOX 150 SMITHFIELD NC 27577 5675942 false X X PLEASE SEE ATTACHED INDEPENDENT ACCOUNTANT'S AUDIT REPORT. 2 2 0 0 0 5013654 5675942 0 0 5013654 5675942 0 3244698 4663263 0 0 0 972860 963008 4217558 5626271 796096 49671 847460 897131 664806 530627 182654 366504 PLEASE SEE ATTACHED INDEPENDENT ACCOUNTANT'S AUDIT REPORT. false false 5626271 PROVIDE HEALTH, DENTAL, SHORT-TERM DISABILITY AND ACCIDENTAL DEATH BENEFITS FOR CERTAIN EMPLOYEES. 5626271 false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true 0 0 false 0 false false false false false false false false X 2 2 false false false false false false false true true false false false false false false false false false X GUY C LEE EMPLOYEE BENEFIT PLAN 9199346195 PO BOX 150 SMITHFIELD NC 27577 X DAWN GLOVER TRUSTEE X 0 0 0 ROSS W LAMPE TRUSTEE X 0 0 0 false false false SPONSOR 4742455 4742455 PARTICIPANTS 846095 846095 STD PREMIUMS 61248 61248 FSA 22598 22598 COBRA 3546 3546 5675942 5675942 5675942 4663263 4663263 REINSURANCE PREMIUMS 705549 705549 ADMINISTRATIVE FEES 197773 197773 LIFE INSURANCE PREMIUMS 54349 54349 PRINTING COSTS 5097 5097 240 240 5626271 5626271 0 0 20322 20322 645045 126558 182093 750251 847460 897131 664806 530627 664806 530627 X 182654 366504 182654 366504 847460 897131 X 49671 134179 X false true true ESTIMATED CLAIMS INCURRED 530627 530627 5675942 5675942 5675942 5626271 5626271 5626271 FORM 990, PAGE 6, PART VI, LINE 11B UPON COMPLETION, THE TRUSTEES REVIEW THE ANNUAL FINANCIAL STATEMENTS AND TAX RETURNS WITH CPA. FORM 990, PAGE 6, PART VI, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN IBNR 134,179